The advent of "single incision laparoscopic surgery" (SILS) has further advanced the minimally invasive approach to the management of complex surgical diseases. SILS, currently in the embryonic stages of development, utilises a single incision to insert a single access device into the abdominal cavity under direct vision. Typically, the device is inserted in the midline and utilises a 2-3cm incision around the umbilicus, itself an embryonic natural orifice.